RCM coordinator (home health billing and coding)
Location: chicago, IL
Type: Full Time
Min. Experience: Experienced
RCM Coordinator (Home Health Billing & Coding) – Remote (US-Based)Position Type:Full-Time | Work From HomeLocation:United States (Remote)
About the Role:We are seeking a Revenue Cycle Management (RCM) Coordinator with proven experience in Home Health medical billing and coding. The ideal candidate will oversee day-to-day billing, coding, and claims management operations, ensuring compliance, accuracy, and timely reimbursement. Experience in coordinating with offshore-based RCM teams is highly preferred. This position offers the opportunity to work independently while collaborating virtually with both US and offshore teams to optimize revenue cycle efficiency.
Key Responsibilities:- Oversee and coordinate all aspects of the Home Health billing and coding cycle, from charge capture to claims submission and payment posting.
- Ensure timely and accurate submission of electronic and paper claims to payers.
- Monitor AR (Accounts Receivable) aging reports and follow up on unpaid or denied claims.
- Review, analyze, and correct claim errors to minimize denials and maximize reimbursement.
- Collaborate closely with offshore billing and coding teams, providing guidance, performance feedback, and ensuring adherence to US billing standards and compliance requirements.
- Conduct quality audits of coding and billing work performed offshore to maintain accuracy and compliance.
- Maintain up-to-date knowledge of Home Health billing regulations, CMS guidelines, and payer requirements.
- Prepare RCM performance reports and recommend process improvements to enhance efficiency.
- Serve as a liaison between internal departments, offshore teams, and external stakeholders.
Qualifications:- Minimum 3–5 years of experience in Home Health medical billing and coding.
- Strong knowledge of Medicare, Medicaid, and commercial payer billing requirements.
- Familiarity with OASIS, HHABN, and HIPAA compliance standards.
- Proven experience coordinating or managing offshore RCM teams (billing, coding, or AR follow-up).
- Proficiency in RCM or EMR systems (e.g., Homecare Homebase, WellSky, MatrixCare, or similar).
- Excellent analytical, organizational, and communication skills.
- Ability to work independently in a remote, fast-paced environment.
- Certification in Medical Billing and Coding (CPC, CBCS, or equivalent) is required.